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TYD PROVIDER SERVICES
NPI 1215729868
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since May 20, 2025
355 S GRAND, STE 2450, LOS ANGELES, CA 90071(657) 200-9124 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyd Provider Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYD PROVIDER SERVICES (NPI 1215729868) is a healthcare organization registered as a psychiatric/mental health in Los Angeles, California and active in the NPI registry since May 2025. The organization lists Dominique Dunn, Owner, as its authorized official.

NPPES Registry Identity

NPI1215729868
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTYD PROVIDER SERVICES
Location Address355 S GRAND, STE 2450Los Angeles, CA 90071-1560
Mailing Address355 S Grand Ave Ste 2450Los Angeles, CA 90071-9500 · (657) 200-9124
Phone(657) 200-9124
Organization SubpartNo
Authorized OfficialDominique DunnOwner · (614) 648-4680
Enumeration DateMay 20, 2025
NPPES CertifiedMay 9, 2025
✔ NPI 1215729868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
355 S GRAND, Los Angeles, CA 90071
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyd Provider Services's NPI number?

The NPI number for Tyd Provider Services is 1215729868. It was assigned to this organization in the NPPES registry on May 20, 2025.

Where is Tyd Provider Services located?

Tyd Provider Services is located at 355 S Grand Ste 2450, Los Angeles, CA 90071. The listed phone number is (657) 200-9124.

What is Tyd Provider Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Tyd Provider Services was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.